Alkhowailed Mohammad S, Otayf Mojahed, Albasseet Abdulrahman, Almousa Abdullah, Alajlan Ziyad, Altalhab Saad
Department of Dermatology, College of Medicine, Qassim University, Buraydah, Qassim, Saudi Arabia.
College of Medicine, King Saud University, Riyadh, Saudi Arabia.
Clin Cosmet Investig Dermatol. 2021 Jan 8;14:23-35. doi: 10.2147/CCID.S280819. eCollection 2021.
Linear hyperpigmentation is an unusual anatomical configuration in clinical dermatology. Owing to its rarity, consensus on the most effective method of classification is lacking. While linear hyperpigmentation generally follows Blaschko's lines, this is not universal. Clinical findings such as adherence to Blaschko's lines, associated morphological findings (including other cutaneous lesions), and systemic manifestations can be used to further characterize and diagnose variants of the disorder. Early detection of any underlying disease is vital, especially in cases with effective management, because the disorder may make it difficult to manage hyperpigmentation. Herein, we introduce a logical clinical diagnostic approach that represents a useful tool for dermatologists to efficiently evaluate patients presenting with linear hyperpigmentation. A simplified systematic and evidence-based approach is useful for this clinical condition owing to the heterogeneous causes and lack of specific diagnostic tools.
线状色素沉着在临床皮肤科中是一种不寻常的解剖学表现。由于其罕见性，对于最有效的分类方法缺乏共识。虽然线状色素沉着通常沿布拉斯科线分布，但并非普遍如此。诸如沿布拉斯科线分布、相关的形态学表现（包括其他皮肤损害）以及系统表现等临床发现可用于进一步对该疾病的变体进行特征描述和诊断。早期发现任何潜在疾病至关重要，尤其是在有有效治疗方法的病例中，因为该疾病可能使色素沉着难以处理。在此，我们介绍一种逻辑临床诊断方法，它是皮肤科医生有效评估线状色素沉着患者的有用工具。由于病因多样且缺乏特定诊断工具，一种简化的系统且基于证据的方法对于这种临床情况很有用。
